Provider Demographics
NPI:1023361474
Name:L&V COUNSELING AND CASE MANAGEMENT SERVICES, LLC
Entity Type:Organization
Organization Name:L&V COUNSELING AND CASE MANAGEMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCEUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-219-1436
Mailing Address - Street 1:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44501-0664
Mailing Address - Country:US
Mailing Address - Phone:330-219-1436
Mailing Address - Fax:330-743-9416
Practice Address - Street 1:2450 GOLETA AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-2100
Practice Address - Country:US
Practice Address - Phone:330-219-1436
Practice Address - Fax:330-743-9416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty